In the 2016 Spending Review Government committed £4.2bn to the adoption of digital and use of data across health and care. The LGA continues to represent council views to ensure that national activity effectively supports local areas.
The Spending Review technology commitments followed publication of Personalised Health and Care 2020 which is a framework for action for how data and technology can improve health, transform quality and reduce the cost of health and care services.
The National Information Board brings together national health and care organisations from the NHS, public health, clinical science, social care and local government, along with appointed independent representatives to develop the strategic priorities for data and technology. The LGA is represented on the National Information Board by Dawn Baxendale, Chief Executive at Southampton City Council.
NHS England is inviting applications from local authorities to support the adoption of technology that will enable effective information sharing between the NHS and Social Care in facilitating an improved hospital discharge process. £1.4m is being made available in 2018/19 to support the sector with adoption. Applications close on 15 January 2018. You can apply here.
Paperless 2020 domains and programmes
NHS England, NHS Digital and the Department of Health have established 10 domains and 33 programmes to take forward activity to support digital and data use. We have listed the domains which we believe directly impact on councils, below:
- Domain A: Self-care and prevention includes work on NHS.UK (replacement for NHS Choices), introduction of a digital apps library, activity to extend wi-fi to GP Practices, a programme to widen digital participation and activity associated with citizen identity.
- Domain D: Integrated care and social care focuses on supporting local areas with interoperability and enabling effective information sharing across care settings. It also includes work specifically on social care including information sharing to support transfers of care.
- Domain G: Paper free at the point of care includes four programmes focused on driving digital maturity, digital child health, digital diagnostics and developing workforce capabilities. The driving digital maturity programme includes work on the digital maturity self-assessment, development of local digital roadmaps and introduction of Global Digital Exemplars. Find out more about Local Digital Roadmaps.
- Domain H: Data availability for outcomes and research aims to improve the quality, availability and integrity of health and care data so that staff, researchers and decision makers can make informed decisions.
- Domain I: Infrastructure aims to enable information to move securely across health and care systems. It includes work on NHSmail and Health and Social Care Network (the replacement for N3).
- Domain J: Public trust and securityaims to respect the data sharing preferences of individuals and ensure that data is kept secure. The programme relates to the National Data Guardian Report on data security, consent and opt outs. The LGA provided a response to this report in 2016.
Domains that do not directly impact on councils
- Domain B: Urgent and emergency care is focused on improving telephone and online triage to support clinicians. It includes work on clinical triage platforms and directories of services.
- Domain C: Transforming general practice is focused on the transformation of general practice and use of digital and data through a variety of associated programmes.
- Domain E: Digital medicines is focused on improving the convenience by enabling people to choose where, how and when their medicines are delivered.
- Domain F: Elective care is focused on improving referral management and providing a better treatment choice for patients by automating referrals across the NHS.
National Social Care Advisory Group
The Department of Health and the LGA have established a National Social Care Advisory Group whose role is to influence and help shape digital activity in the context of social care. The Advisory Group brings together a range of councils, care provider representative bodies, voluntary and community organisations and national bodies.
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